Supraspinatus tendon and subacromial space parameters measured on ultrasonographic imaging in subacromial impingement syndrome

Verfasser / Beitragende:
[Lori Michener, Sevgi Subasi Yesilyaprak, Amee Seitz, Mark Timmons, Matthew Walsworth]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/2(2015-02-01), 363-369
Format:
Artikel (online)
ID: 605460094
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024 7 0 |a 10.1007/s00167-013-2542-8  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2542-8 
245 0 0 |a Supraspinatus tendon and subacromial space parameters measured on ultrasonographic imaging in subacromial impingement syndrome  |h [Elektronische Daten]  |c [Lori Michener, Sevgi Subasi Yesilyaprak, Amee Seitz, Mark Timmons, Matthew Walsworth] 
520 3 |a Purpose: To characterize the supraspinatus tendon thickness, subacromial space, and the relationship between tendon thickness and subacromial space to further elucidate the mechanisms of subacromial impingement syndrome. Methods: In a single-blind cross-sectional study, subjects were recruited with subacromial impingement syndrome (n=20) and asymptomatic controls (n=20) matched for age, gender, and hand dominance. Ultrasound images were collected using a 4-12-MHz linear transducer in B-mode of the supraspinatus tendon in the transverse (short axis) and the anterior aspect of the subacromial space outlet. Using image callipers, measurements of tendon thickness were taken at 3 points along the tendon and averaged for a single thickness measure. The subacromial space outlet was measured via the acromiohumeral distance (AHD) defined by the inferior acromion and superior humeral head. The occupation ratio was calculated as the tendon thickness as a percentage of AHD. Results: The subacromial impingement syndrome group had a significantly thicker tendon (mean difference=0.6mm, p=0.048) and a greater tendon occupation ratio (mean difference=7.5%, p=0.014) compared to matched controls. There were no AHD group differences. Conclusions: The supraspinatus tendon was thicker and occupied a greater percentage of AHD, supporting an intrinsic mechanism. An extrinsic mechanism of tendon compression is theoretically supported, but future imaging studies need to confirm direct compression with elevation. Treatment to reduce tendon thickness may reduce symptoms, and surgical intervention to increase subacromial space may be considered if tendon compression can be verified. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Rotator cuff disease  |2 nationallicence 
690 7 |a Impingement syndrome  |2 nationallicence 
690 7 |a Shoulder  |2 nationallicence 
690 7 |a Tendon  |2 nationallicence 
690 7 |a Subacromial space  |2 nationallicence 
700 1 |a Michener  |D Lori  |u COOR Laboratory, Department of Physical Therapy, Virginia Commonwealth University, Rm 100, West Hospital Basement, 23298, Richmond, VA, USA  |4 aut 
700 1 |a Subasi Yesilyaprak  |D Sevgi  |u School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey  |4 aut 
700 1 |a Seitz  |D Amee  |u Physical Therapy Department, Bouve College of Health Science, Northeastern University, 02127, Boston, MA, USA  |4 aut 
700 1 |a Timmons  |D Mark  |u COOR Laboratory, Department of Physical Therapy, Virginia Commonwealth University, Rm 100, West Hospital Basement, 23298, Richmond, VA, USA  |4 aut 
700 1 |a Walsworth  |D Matthew  |u Department of Radiology, University of California Los Angeles, 757 Westwood Boulevard, 90095, Los Angeles, CA, USA  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 363-369  |x 0942-2056  |q 23:2<363  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2542-8  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-013-2542-8  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Michener  |D Lori  |u COOR Laboratory, Department of Physical Therapy, Virginia Commonwealth University, Rm 100, West Hospital Basement, 23298, Richmond, VA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Subasi Yesilyaprak  |D Sevgi  |u School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Seitz  |D Amee  |u Physical Therapy Department, Bouve College of Health Science, Northeastern University, 02127, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Timmons  |D Mark  |u COOR Laboratory, Department of Physical Therapy, Virginia Commonwealth University, Rm 100, West Hospital Basement, 23298, Richmond, VA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Walsworth  |D Matthew  |u Department of Radiology, University of California Los Angeles, 757 Westwood Boulevard, 90095, Los Angeles, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 363-369  |x 0942-2056  |q 23:2<363  |1 2015  |2 23  |o 167